Provider Demographics
NPI:1790335289
Name:DR S ENGLISH PSYCHOLOGICAL & NP OF PSYCHIATRY SERVICES, PLLC
Entity Type:Organization
Organization Name:DR S ENGLISH PSYCHOLOGICAL & NP OF PSYCHIATRY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:718-219-3933
Mailing Address - Street 1:1639 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5401
Mailing Address - Country:US
Mailing Address - Phone:718-219-3933
Mailing Address - Fax:888-258-2653
Practice Address - Street 1:1639 E 96TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-5401
Practice Address - Country:US
Practice Address - Phone:718-219-3933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty